MEDICARE: DR. DARIUS FURROKH WANIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	J9430	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134164577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARIUS FURROKH WANIA M.D.

Provider Business Mailing Address
First Line	:	35 RIVERCOACH LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5544
Country	:	US
Telephone Number	:	281-494-2845
Fax Number	:	281-495-4651

Provider Business Practice Location Address
First Line	:	10080 BELLAIRE BLVD
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77072-5249
Country	:	US
Telephone Number	:	281-495-5050
Fax Number	:	281-495-4651

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	12/11/2009

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